Journal of the American Podiatric Medical Association

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Open AccessArticle

Torsion of the Tendon of Peroneus Brevis

by Michael L. Nelson, Thomas S. Roukis, Jeffrey C. Page and Kristin L. Northcote

J. Am. Podiatr. Med. Assoc. 1997, 87(10), 490-494; https://doi.org/10.7547/87507315-87-10-490 - 1 Oct 1997

Cited by 4 | Viewed by 70

The authors present a previously undescribed torsion located within the tendon of peroneus brevis. The musculotendinous unit of peroneus brevis was isolated from 46 lower extremities of cadavers. A goniometer was constructed and utilized to quantify the degree of torsion located within each [...] Read more.

The authors present a previously undescribed torsion located within the tendon of peroneus brevis. The musculotendinous unit of peroneus brevis was isolated from 46 lower extremities of cadavers. A goniometer was constructed and utilized to quantify the degree of torsion located within each peroneus brevis tendon. Torsion was present in all 46 cadaver specimens, with a mean of 38.5° and a range of 26° to 56°. The regional anatomy and biomechanical functions of peroneus brevis are discussed, and proposed bases for the embryologic origins and functional significance of the torsion are presented. Full article

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Open AccessCase Report

Ankle Arthrodesis Following Avascular Necrosis of the Talus In a Patient with Lupus

by Brent D. Haverstock, Lindsay D. Barth and Allen M. Jacobs

J. Am. Podiatr. Med. Assoc. 1997, 87(10), 483-489; https://doi.org/10.7547/87507315-87-10-483 - 1 Oct 1997

Cited by 8 | Viewed by 73

Abstract

Avascular necrosis of bone is a common manifestation of systemic lupus erythematosus, particularly in those patients receiving corticosteroids. The authors review the pathogenesis and diagnosis of avascular necrosis and describe an ankle arthrodesis in a patient with systemic lupus erythematosus who developed avascular [...] Read more.

Avascular necrosis of bone is a common manifestation of systemic lupus erythematosus, particularly in those patients receiving corticosteroids. The authors review the pathogenesis and diagnosis of avascular necrosis and describe an ankle arthrodesis in a patient with systemic lupus erythematosus who developed avascular necrosis of the talus. Full article

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Open AccessCase Report

Mixed Cavernous and Capillary Intraosseous Hemangioma Of the Foot

by Jenifer L. Davies, Paul A. Stone and John J. McGarry

J. Am. Podiatr. Med. Assoc. 1997, 87(10), 478-482; https://doi.org/10.7547/87507315-87-10-478 - 1 Oct 1997

Cited by 6 | Viewed by 95

Abstract

Hemangiomas of bone are rare lesions accounting for approximately 1% of all primary bone tumors. Intraosseous hemangiomas of the foot are especially rare, with only sparse reports in the literature. Presented here is a case study of an erosive bony lesion of the [...] Read more.

Hemangiomas of bone are rare lesions accounting for approximately 1% of all primary bone tumors. Intraosseous hemangiomas of the foot are especially rare, with only sparse reports in the literature. Presented here is a case study of an erosive bony lesion of the midfoot that was microscopically and histopathologically proven to be a mixed cavernous and capillary hemangioma. Eradication of the lesion during diagnostic biopsy obviated further treatment. Full article

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Open AccessCase Report

Dilute Lidocaine Ankle Blocks in The Diagnosis of Sympathetically Maintained Pain

by Carolyn K. Harvey

J. Am. Podiatr. Med. Assoc. 1997, 87(10), 473-477; https://doi.org/10.7547/87507315-87-10-473 - 1 Oct 1997

Cited by 8 | Viewed by 76

Abstract

The author has developed a technique of dilute anesthetic ankle block that appears, on the basis of these preliminary observations, to relieve pathologic pain that may be maintained by the sympathetic nervous system. Symptomatic relief following the use of this injection confirms that [...] Read more.

The author has developed a technique of dilute anesthetic ankle block that appears, on the basis of these preliminary observations, to relieve pathologic pain that may be maintained by the sympathetic nervous system. Symptomatic relief following the use of this injection confirms that the patient's problem is not somatic and that further evaluation and treatment of sympathetically maintained pain syndrome may be indicated. Full article

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Open AccessArticle

1997 William J. Stickel Bronze Award. Comparison of Strategies for Reducing Pressure at the Site of Neuropathic Ulcers

by John G. Fleischli, Lawrence A. Lavery, Steven A. Vela, Hisham Ashry and David C. Lavery

J. Am. Podiatr. Med. Assoc. 1997, 87(10), 466-472; https://doi.org/10.7547/87507315-87-10-466 - 1 Oct 1997

Cited by 88 | Viewed by 66

Abstract

Few scientific data are available on the effectiveness of commonly used modalities for reducing pressure at the site of neuropathic ulcers in persons with diabetes mellitus. The authors' aim was to compare the effectiveness of total contact casts, half-shoes, rigid-soled postoperative shoes, accommodative [...] Read more.

Few scientific data are available on the effectiveness of commonly used modalities for reducing pressure at the site of neuropathic ulcers in persons with diabetes mellitus. The authors' aim was to compare the effectiveness of total contact casts, half-shoes, rigid-soled postoperative shoes, accommodative dressings made of felt and polyethylene foam, and removable walking casts in reducing peak plantar foot pressures at the site of neuropathic ulcerations in diabetics. Using an in-shoe pressure-measurement system, data from 32 midgait steps were collected for each treatment. There was a consistent pattern in the devices' effectiveness in reducing foot pressures at ulcer sites under the great toe and ball of the foot. Removable walking casts were as effective as or more effective than total contact casts. Half-shoes were consistently the third most effective modality, followed by accommodative dressings and rigid-soled postoperative shoes. Full article

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Open AccessArticle

1997 William J. Stickel Silver Award. The Anti-Inflammatory Action of Locally Injected Ketorolac

by Joel W. Brook, Alan Boike, Roger L. Zema, Michael Weaver and Paul Postak

J. Am. Podiatr. Med. Assoc. 1997, 87(10), 460-465; https://doi.org/10.7547/87507315-87-10-460 - 1 Oct 1997

Cited by 1 | Viewed by 69

Abstract

Locally injected steroids are used to treat inflammatory conditions, in spite of the complications associated with their use. Ketorolac tromethamine, an injectable nonsteroidal anti-inflammatory drug, has not previously been evaluated for treatment of musculoskeletal inflammatory conditions via local administration. Eighty Achilles tendons of [...] Read more.

Locally injected steroids are used to treat inflammatory conditions, in spite of the complications associated with their use. Ketorolac tromethamine, an injectable nonsteroidal anti-inflammatory drug, has not previously been evaluated for treatment of musculoskeletal inflammatory conditions via local administration. Eighty Achilles tendons of rabbits were traumatized in a controlled fashion. At the time of trauma, a single dose of ketorolac (1, 3, or 5 mg/kg) or normal saline was administered peritendinously. Three days later, the tendons were harvested and examined histologically to evaluate the degree of inflammation present in the tissue. No statistically significant difference was found between the experimental and control groups. The authors conclude that locally injected ketorolac does not prevent the onset of an inflammatory process. Full article

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Open AccessArticle

1997 William J. Stickel Gold Award. Morphological and Biochemical Properties of Metatarsophalangeal Joint Cartilage

by Carol Muehleman, Susan Chubinskaya, Ada A. Cole, Yelina Noskina, Charalampos Arsenis and Klaus E. Kuettner

J. Am. Podiatr. Med. Assoc. 1997, 87(10), 447-459; https://doi.org/10.7547/87507315-87-10-447 - 1 Oct 1997

Cited by 11 | Viewed by 65

Abstract

Although there is sparse information concerning the properties of foot-joint cartilages, knowledge of the morphology and biochemistry of these cartilages is important in the study of changes that occur in the development of osteoarthritis. Normal first and fifth metatarsophalangeal joints were chosen for [...] Read more.

Although there is sparse information concerning the properties of foot-joint cartilages, knowledge of the morphology and biochemistry of these cartilages is important in the study of changes that occur in the development of osteoarthritis. Normal first and fifth metatarsophalangeal joints were chosen for comparison because of the difference between these two joints in the prevalence of osteoarthritis, particularly with advancing age. The authors' study shows that there is no age-related decrease in articular-cartilage thickness; however, there is an age-related decrease in the chondrocyte density in the superficial zone in both joints. There is, however, a difference between the two joints in the level of expression of matrix-degrading enzymes. This difference may indicate differences in specific chondrocyte activity that precedes or accompanies the development of osteoarthritis or other degenerative morphological changes. Full article

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J. Am. Podiatr. Med. Assoc., Volume 87, Issue 10 (10 1997) – 7 articles , Pages 447-494

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